Individual
TIMBI D WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1006 E MAIN STREET, CHARLESTON, AR 72933
(479) 965-7702
(479) 965-2180
Mailing address
1006 E MAIN STREET, CHARLESTON, AR 72933
(479) 965-7702
(479) 965-2180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01064
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155430758
—
AR
05
—
200045560A
—
OK
Enumeration date
10/05/2005
Last updated
09/29/2016
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